Bodied Chiropractic Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BODIED CHIROPRACTIC CLINIC

Practice address

2616 S Loop W Ste 430
Houston, TX 77054-2303

Phone

(346) 802-2984

Fax

(346) 571-2903

NPI assigned

Jul 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Lucille Kelly, DC

Title

Chiropractor

Phone

(346) 802-2984

Specialties & licenses 1

Addresses

Other names 1

• Bodied Chiropractic Clinic Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1346894466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542303",
            "telephone_number": "346-802-2984",
            "fax_number": "346-571-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542303",
            "telephone_number": "346-802-2984",
            "fax_number": "346-571-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIED CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "346-802-2984",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Houston",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Office",
            "address_1": "2616 S Loop W Ste 430",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770542303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bodied Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tad Bodeman, LCSW
• Macie Maxfield Boden, PA-C
• Shanna Bodenhamer
• Carol Bodenheimer, M.D.
• Bodhi Counseling and Consulting PLLC
• Bodies in Balance
• Bodies in Balance Medical Group PLLC
• Jason Michael Bodiford, MD
• James A Bodin, MD
• Kelley Renee Bodine, OTR

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.